NHA CCMA REVIEW
HIPAA - ANS--health insurance portability accountability act
-federal government agency to protect patient info
-can't write opinion
According to HIPAA, only time you can talk about patients is - ANS-consulting
When is reporting confidential information allowed? - ANS-VDRL (test for syphilis)
OSHA - ANS--occupational safety and health administration
-federal government agency for all employee safety (not just medical)
OSHA says we cannot walk with - ANS-sharps (so dispose of patient razor in patient room
sharps container)
According to OSHAs guidelines for proper waste disposal, which of the following should a
CCMA place in the regular waste container? - ANS-an empty urine container
MSDS - ANS--material safety data sheet (under OSHA) for all products
-have book with all the sheets so OSHA can check, every time you use a product put the
material safety data sheet in the book
DEA - ANS--drug enforcement agency
-federal government agency involved in ALL drugs (medical, illegal, etc)
-DEA has to approve doctors to write prescriptions, so not all doctors can
FDA - ANS--food and drug administration, approve all ingested materials
CDC - ANS--centers for disease control
-headquarters in ATL but every state has one
-protects americans from health, safety, and security threats both foreign and in the U.S.
CLIA - ANS--clinical laboratory improvement act
-federal government agency that dictates what we can and cannot do in labs, medical settings,
etc
WHO - ANS--world health organization
,-works with CDC, monitor diseases etc internationally
Fires: Class A - ANS--combustible materials
-water or H2O based solution
Fires: Class B - ANS--flammable liquid or vapor
-extinguisher (remove O2)
Fires: Class C - ANS--electrical
-non-conductive extinguisher
Fires: Class K - ANS--kitchen
Refusing treatment: if 18 or older - ANS-allowed to refuse treatment
Refusing treatment: younger than 18 - ANS-cannot refuse, need guardian permission
Refusing treatment: 12 or older - ANS-can refuse if care related to substance abuse,
pregnancy, or sexual abuse
Polyuria - ANS-excessive urination (poly= many)
Nocturia - ANS-urination at night (not supposed to urinate while you sleep)
Hematuria - ANS--blood in urine
-if female has hematuria, ask about LMP (last menstrual period)
-if male has hematuria, indicates prostate cancer
UTI - ANS--urinary tract infection
-bacterial infection
-90% of time it is an STI (just means its transmitted through sexual contact)
-use clean-catch midstream specimen
-nitrite in urine
HCG - ANS--Human Chorionic Gonadotropin hormone
-pregnancy test
-can do test two ways: blood or urine (both serum)
Urine culture, what goes on collection cup? - ANS--label container not the lid
-label (patient name, date and time of collection, initials of who collected)
Tests (cartridge) - ANS--S stands for specimen or serum (blood or urine)
-C stands for control
-T stands for test
,2 lines on test means - ANS-positive
One line on control means - ANS-negative
One line on test means - ANS-defective test
-osis/-asis - ANS-condition of
Hemostasis - ANS--process of causing bleeding to stop (clotting, WBCs, etc)
-hemophiliacs can't do hemostasis
5 types of white blood cells - ANS-never let monkeys eat bananas
neutrophils, lymphocytes, monocytes, eosinophils, basophils
New white blood cells every - ANS-7-10 days
In hemostasis, what is the main blood component? - ANS-platelets (aka thrombocytes)
Other words for blood clot - ANS-embolism, fibrinogen clot, platelet plug, thrombocytes,
platelets
Liquid portion of blood - ANS-plasma
New RBCs every - ANS-120 days
-oma - ANS-tumor
Hematoma - ANS--blood tumor (not really tumor), blood accumulates under the skin when
tissue is injured
-heat and pressure to dilate vessels
-from *prolonged tourniquet*, also needle probing
Hemolysis/hemolytic - ANS--breaking of blood cells
-from tourniquet, also shaking blood collection tubes (why we do inversions instead)
Hemoconcentration - ANS-accumulation of blood in one area
Hemoglobin - ANS--gives blood iron
-carries O2 from lungs to body
-a molecular protein
CO2 carries oxygen back to heart as - ANS-bicarbonate
, Hemoglobin A1C Assay (HgbA1C) - ANS--diabetes test, for diabetes screening, to see how
diabetes is progressing
-tells you about long-term glucose levels (why it is different than glucometer)
-test every few months
-normal range is below 6%
Post-prandial - ANS-after meals
Pee - ANS-urine, void, micturate
Poop - ANS-feces, defecation, stool, bowel movement
Period - ANS-menses, menstrual, cycle
Diarrhea - ANS-body rejects what you ate so it doesn't go through all the cycles it should
Amenorrhea - ANS-(-rrhea= flow)
-absence of menstrual cycle, can be only missing 1-2 periods
Capillary puncture - ANS--finger or heel stick, also *earlobes*
-most important step= wipe away first drop of blood
Finger Stick - ANS--blood sugar, microhematocrits, iron test
-side of middle (great) or ring finger
CCMA is preparing to perform a hand draw what should you assemble? - ANS-Winged infusion
set and adapter
Before babies leave hospital in the US, within 24-48 hours of birth, have to pass - ANS-PKU
and abgar test
Abgar test - ANS-lungs are working (if baby cries)
PKU - ANS--infant heel stick (phenylketonuria)
-lateral or medial sides of heel
-warm heel up
-depth no more than *2 mm* (APA_
-*filter paper* NOT capillary tubes, saturate circles, only one side
-let filter paper air dry for *3 hours*
-test after *24 hours* of age
-specimen received in no more than *14 days*
-write patient info and refrigerate
ABG - ANS--Arterial Blood Gas
HIPAA - ANS--health insurance portability accountability act
-federal government agency to protect patient info
-can't write opinion
According to HIPAA, only time you can talk about patients is - ANS-consulting
When is reporting confidential information allowed? - ANS-VDRL (test for syphilis)
OSHA - ANS--occupational safety and health administration
-federal government agency for all employee safety (not just medical)
OSHA says we cannot walk with - ANS-sharps (so dispose of patient razor in patient room
sharps container)
According to OSHAs guidelines for proper waste disposal, which of the following should a
CCMA place in the regular waste container? - ANS-an empty urine container
MSDS - ANS--material safety data sheet (under OSHA) for all products
-have book with all the sheets so OSHA can check, every time you use a product put the
material safety data sheet in the book
DEA - ANS--drug enforcement agency
-federal government agency involved in ALL drugs (medical, illegal, etc)
-DEA has to approve doctors to write prescriptions, so not all doctors can
FDA - ANS--food and drug administration, approve all ingested materials
CDC - ANS--centers for disease control
-headquarters in ATL but every state has one
-protects americans from health, safety, and security threats both foreign and in the U.S.
CLIA - ANS--clinical laboratory improvement act
-federal government agency that dictates what we can and cannot do in labs, medical settings,
etc
WHO - ANS--world health organization
,-works with CDC, monitor diseases etc internationally
Fires: Class A - ANS--combustible materials
-water or H2O based solution
Fires: Class B - ANS--flammable liquid or vapor
-extinguisher (remove O2)
Fires: Class C - ANS--electrical
-non-conductive extinguisher
Fires: Class K - ANS--kitchen
Refusing treatment: if 18 or older - ANS-allowed to refuse treatment
Refusing treatment: younger than 18 - ANS-cannot refuse, need guardian permission
Refusing treatment: 12 or older - ANS-can refuse if care related to substance abuse,
pregnancy, or sexual abuse
Polyuria - ANS-excessive urination (poly= many)
Nocturia - ANS-urination at night (not supposed to urinate while you sleep)
Hematuria - ANS--blood in urine
-if female has hematuria, ask about LMP (last menstrual period)
-if male has hematuria, indicates prostate cancer
UTI - ANS--urinary tract infection
-bacterial infection
-90% of time it is an STI (just means its transmitted through sexual contact)
-use clean-catch midstream specimen
-nitrite in urine
HCG - ANS--Human Chorionic Gonadotropin hormone
-pregnancy test
-can do test two ways: blood or urine (both serum)
Urine culture, what goes on collection cup? - ANS--label container not the lid
-label (patient name, date and time of collection, initials of who collected)
Tests (cartridge) - ANS--S stands for specimen or serum (blood or urine)
-C stands for control
-T stands for test
,2 lines on test means - ANS-positive
One line on control means - ANS-negative
One line on test means - ANS-defective test
-osis/-asis - ANS-condition of
Hemostasis - ANS--process of causing bleeding to stop (clotting, WBCs, etc)
-hemophiliacs can't do hemostasis
5 types of white blood cells - ANS-never let monkeys eat bananas
neutrophils, lymphocytes, monocytes, eosinophils, basophils
New white blood cells every - ANS-7-10 days
In hemostasis, what is the main blood component? - ANS-platelets (aka thrombocytes)
Other words for blood clot - ANS-embolism, fibrinogen clot, platelet plug, thrombocytes,
platelets
Liquid portion of blood - ANS-plasma
New RBCs every - ANS-120 days
-oma - ANS-tumor
Hematoma - ANS--blood tumor (not really tumor), blood accumulates under the skin when
tissue is injured
-heat and pressure to dilate vessels
-from *prolonged tourniquet*, also needle probing
Hemolysis/hemolytic - ANS--breaking of blood cells
-from tourniquet, also shaking blood collection tubes (why we do inversions instead)
Hemoconcentration - ANS-accumulation of blood in one area
Hemoglobin - ANS--gives blood iron
-carries O2 from lungs to body
-a molecular protein
CO2 carries oxygen back to heart as - ANS-bicarbonate
, Hemoglobin A1C Assay (HgbA1C) - ANS--diabetes test, for diabetes screening, to see how
diabetes is progressing
-tells you about long-term glucose levels (why it is different than glucometer)
-test every few months
-normal range is below 6%
Post-prandial - ANS-after meals
Pee - ANS-urine, void, micturate
Poop - ANS-feces, defecation, stool, bowel movement
Period - ANS-menses, menstrual, cycle
Diarrhea - ANS-body rejects what you ate so it doesn't go through all the cycles it should
Amenorrhea - ANS-(-rrhea= flow)
-absence of menstrual cycle, can be only missing 1-2 periods
Capillary puncture - ANS--finger or heel stick, also *earlobes*
-most important step= wipe away first drop of blood
Finger Stick - ANS--blood sugar, microhematocrits, iron test
-side of middle (great) or ring finger
CCMA is preparing to perform a hand draw what should you assemble? - ANS-Winged infusion
set and adapter
Before babies leave hospital in the US, within 24-48 hours of birth, have to pass - ANS-PKU
and abgar test
Abgar test - ANS-lungs are working (if baby cries)
PKU - ANS--infant heel stick (phenylketonuria)
-lateral or medial sides of heel
-warm heel up
-depth no more than *2 mm* (APA_
-*filter paper* NOT capillary tubes, saturate circles, only one side
-let filter paper air dry for *3 hours*
-test after *24 hours* of age
-specimen received in no more than *14 days*
-write patient info and refrigerate
ABG - ANS--Arterial Blood Gas
